Anatomic Basis of Tumor Surgery by John M. DelGaudio, Amy Y. Chen (auth.), William C. Wood,

By John M. DelGaudio, Amy Y. Chen (auth.), William C. Wood, Charles A. Staley, John E. Skandalakis (eds.)

Modern organic figuring out is the root for a multimodality therapy of a tumor. 'Anatomic foundation of Tumor surgical procedure' is the single booklet that gives an anatomic foundation and outline of tumor surgical procedure in keeping with an figuring out of either the anatomy and biology of tumor development. It provides the neighborhood anatomy to permit tailoring of the operation as demanded.

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Sample text

Knowledge of the anatomy of these spaces and their relationship to the pharynx is integral to understanding the surgical approaches to these spaces and the perils and pitfalls of these approaches. Parapharyngeal Space (Lateral Pharyngeal Space) The parapharyngeal space is typically described as an inverted pyramid-shaped space located lateral to the pharynx. Its superior extent is at the skull base, including a small portion of the temporal bone and a fascial connection from the medial pterygoid plate to the spine of the sphenoid medially.

The osteotomy is performed in a stair-step fashion as previously described. Lateral distraction of the anterior and posterior mandibular segments allows exposure to the lingual gingiva, which is transected and the soft tissue resection performed as needed. This approach allows good access to the lateral posterior floor of mouth, posterior tongue and tongue base, tonsil, and soft palate. It also provides good access to the parapharyngeal space. After soft tissue resection is completed, the defect is closed with either primary closure, split-thickness skin grafting, or a flap.

The Soft Palate 19 20 Chapter 1 Oral Cavity and Oropharynx palatopharyngeus muscle draws the palate down and narrows the pharynx, in addition to elevating the pharynx. Sensory innervation of the soft palate is through the lesser palatine branches of the maxillary division of the trigeminal nerve. Blood supply is from the lesser palatine arteries, which are branches of the internal maxillary artery and travel with the nerve through the lesser palatine foramen. , the nasopharynx) and the oral cavity.

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